Influence of fast-track recovery after coronary artery bypass in the elderly.
Title | Influence of fast-track recovery after coronary artery bypass in the elderly. |
Publication Type | Journal Article |
Year of Publication | 2007 |
Authors | Charokopos, N., Antonitsis P., Toumbouras M., Konstantinopoulos J., & Rouska E. |
Journal | Asian Cardiovasc Thorac Ann |
Volume | 15 |
Issue | 2 |
Pagination | 144-8 |
Date Published | 2007 Apr |
ISSN | 1816-5370 |
Keywords | Aged, Anesthesia Recovery Period, Clinical Protocols, Coronary Artery Bypass, Female, Humans, Male, Middle Aged, Postoperative Care, Retrospective Studies, Time Factors |
Abstract | We retrospectively analyzed 711 consecutive patients who had isolated coronary artery bypass grafting between January 2000 and December 2004; 572 younger patients (< 70 years) were compared with 139 elderly patients (> or = 70 years). A rapid recovery program based on an anesthetic protocol for early extubation was applied to all patients. The overall hospital mortality rate was 3.3% for the younger group and 4.3% for the elderly group. There were no significant differences in rates of hospital mortality and postoperative complications between the two groups. Early extubation was achieved in significantly more younger (71%) compared to elderly (57%) patients. Rapid recovery with discharge before the 5(th) postoperative day was achieved in 19% of the elderly compared to 48% of the younger patients. Patients in the younger group were discharged from hospital earlier (6.8 +/- 0.3 vs 8.0 +/- 8.5 days). Application of fast-track treatment in an elderly population appears to be a safe and effective approach if used on a selective basis when criteria for early extubation are met. |
DOI | 10.1177/021849230701500213 |
Alternate Journal | Asian Cardiovasc Thorac Ann |
PubMed ID | 17387198 |